Document Detail

Clinical spectrum of ventricular tachycardia with left bundle branch morphology.
MedLine Citation:
PMID:  6849249     Owner:  NLM     Status:  MEDLINE    
Twenty-nine patients with apparent ventricular tachycardia (VT) of left bundle branch block (LBBB) morphology were evaluated. Tachycardia was associated with an organic basis in 24 of 29 patients: 7 had Mahaim fibers of the nodoventricular type, 7 had arrhythmogenic right ventricular dysplasia, 5 had coronary heart disease, 3 had biventricular cardiomyopathy, and 2 had associated congenital heart disease. In many patients the underlying cardiac disease was not readily apparent. In the patients with a Mahaim fiber, the electrocardiogram taken during sinus rhythm was frequently normal. A reentry tachycardia with anterograde conduction over the nodoventricular fiber could mimic VT as diagnosed by the usual criteria; nodoventricular fibers were, therefore, often unsuspected before electrophysiologic evaluation. In patients with arrhythmogenic right ventricular dysplasia, cineangiography demonstrated abnormalities of the right ventricle, but only minor or no abnormalities of the left ventricle. Clinical and electrocardiographic features were not distinctive. Of the 29 patients, 22 had serious symptoms accompanying the tachyarrhythmia or had required cardioversion. Patients were followed up for an average of 20 months: 4 patients died. Thus, VT exhibiting an LBBB morphology is not uncommon and is frequently associated with organic heart disease, serious symptoms, and significant mortality. Right ventricular angiography and electrophysiologic study may clarify the diagnosis in these patients.
M J Reiter; W M Smith; J J Gallagher
Related Documents :
11138309 - Malignant neurocardiogenic vasovagal syncope associated with chronic exaggerated vagal ...
10598959 - Driving safety among patients with neurocardiogenic (vasovagal) syncope.
11448409 - Incidence and mechanism of presyncope and/or syncope associated with paroxysmal junctio...
20886349 - Cerebral blood flow abnormalities in patients with neurally mediated syncope.
12877699 - Patients with an icd can safely resume work in industrial facilities following simple s...
14516899 - Long-term outcome of patients with recurrent syncope of unknown cause in the absence of...
24717869 - Relationships of indoleamine 2,3-dioxygenase activity and cofactors with asthma and nas...
22434289 - Outcomes of permanent inferior vena cava filters: experiences in thai patients.
20517769 - Risk factors for complex regional pain syndrome in patients with traumatic extremity in...
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of cardiology     Volume:  51     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1983 Jan 
Date Detail:
Created Date:  1983-02-14     Completed Date:  1983-02-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  113-21     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Bundle-Branch Block / diagnosis*
Cardiomyopathies / complications,  diagnosis
Child, Preschool
Coronary Disease / complications,  diagnosis
Diagnosis, Differential
Heart Defects, Congenital / complications,  diagnosis
Heart Ventricles / abnormalities,  physiopathology,  radionuclide imaging
Middle Aged
Tachycardia / diagnosis*,  etiology,  radiography
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Relation between late potentials on the body surface and directly recorded fragmented electrograms i...
Next Document:  Electrophysiologic studies in atrial fibrillation. Slow conduction of premature impulses: a possible...